<!DOCTYPE html>
<html xmlns:th="http://www.thymeleaf.org">
<meta charset="utf-8">
<head th:include="include :: header"></head>
<body class="gray-bg">
<div class="wrapper wrapper-content ">
    <div class="row">
        <div class="col-sm-12">
            <div class="ibox float-e-margins">
                <div class="ibox-content">

                    <form class="form-horizontal m-t" id="signupForm">
                        <div class="form-group">
                            <label class="col-sm-3 control-label">提现方式：</label>
                            <div class="col-sm-8">
                                <input id="yinhang1" name="payType" class="" type="radio" value="3">银行卡
                              <span hidden> <input id="zfb1" name="payType" class="" type="radio" value="2" >支付宝</span>
                            </div>
                        </div>
                        <input id="userId" name="userId" th:value="${user.userId}"
                               type="hidden">

                        <div class="form-group">
                            <label class="col-sm-3 control-label">收款人姓名：</label>
                            <div class="col-sm-8">
                                <input id="bank2" name="bank2" class="form-control" type="text" placeholder="例：张三">
                            </div>
                        </div>


                        <div id="yinhang">
                            <div class="form-group">
                                <label class="col-sm-3 control-label">开户行账号：</label>
                                <div class="col-sm-8">
                                    <input id="accout" name="accout" class="form-control" type="text"
                                           placeholder="例：611301135018000478803">
                                </div>
                            </div>

                            <div class="form-group">
                                <label class="col-sm-3 control-label">开户银行名称：</label>
                                <div class="col-sm-8">
                                    <input id="bank" name="bank" class="form-control" type="text"
                                           placeholder="例：交通银行衡水新华路支行">
                                </div>
                            </div>
                            <div class="form-group">
                                <label class="col-sm-3 control-label">开户银行地址：</label>
                                <div class="col-sm-8">
                                    <input id="address" name="address" class="form-control" type="text"
                                           placeholder="例：河北省衡水市新华路253号">
                                </div>
                            </div>
                        </div>



                        <div id="zfb">
                            <div class="form-group">
                                <label class="col-sm-3 control-label">支付宝账号：</label>
                                <div class="col-sm-8">
                                    <input id="aliPayAccount" name="aliPayAccount" class="form-control" type="text"
                                           placeholder="例：123589658">
                                </div>
                            </div>
                        </div>




                        <div class="form-group">
                            <label class="col-sm-3 control-label">收款人电话：</label>
                            <div class="col-sm-8">
                                <input id="phone" name="phone" class="form-control" type="text">
                            </div>
                        </div>

                        <div class="form-group">
                            <label class="col-sm-3 control-label">金额：</label>
                            <div class="col-sm-8">
                                <input id="money" name="money" class="form-control" type="text">
                            </div>
                        </div>
                        <div class="form-group">
                            <label class="col-sm-3 control-label">可提现余额：</label>
                            <div class="col-sm-8">
                                <input id="money1" readonly name="money1" class="form-control"
                                       th:value="${user.money}" type="text">
                            </div>
                        </div>

                        <div class="form-group">
                            <label class="col-sm-3 control-label">备注：</label>
                            <div class="col-sm-8">
                                <input id="remark" name="remark" class="form-control" type="text">
                            </div>
                        </div>


                        <div class="form-group">
                            <div class="col-sm-8 col-sm-offset-3">
                                <button type="submit" class="btn btn-primary">提交</button>
                            </div>
                        </div>
                    </form>
                </div>
            </div>
        </div>
    </div>
</div>
<div th:include="include::footer"></div>

<script type="text/javascript" src="/js/appjs/system/tixian/add.js">
</script>

</body>
</html>
